cms_GA: 3644

In collaboration with The Seattle Times, Big Local News is providing full-text nursing home deficiencies from Centers for Medicare & Medicaid Services (CMS). These files contain the full narrative details of each nursing home deficiency cited regulators. The files include deficiencies from Standard Surveys (routine inspections) and from Complaint Surveys. Complete data begins January 2011 (although some earlier inspections do show up). Individual states are provides as CSV files. A very large (4.5GB) national file is also provided as a zipped archive. New data will be updated on a monthly basis. For additional documentation, please see the README.

This data as json, copyable

rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
3644	NANCY HART CENTER FOR NURSING AND HEALING LLC	115686	2117 DOCTOR WARD ROAD	ELBERTON	GA	30635	2017-08-17	334	C	0	1	VPQ811	Based on record review, review of the policy titled Immunizations: Influenza (FLU) Vaccination of Residents, Staff, and Volunteers and staff interviews, the facility failed to provide education related to the risk and benefits of the flu vaccination or obtain informed consent prior to administration of the flu vaccine for five of five residents (R#12, R#15, R#23, R#34 and R#49). The sample was 17 residents. Findings include: Review of the policy titled Immunizations: Influenza (FLU) Vaccination of Residents, Staff, and Volunteers dated 2012 documented: Guideline: All residents, staff and volunteers of our facility should receive the influenza vaccine annually, unless there is a documented contraindication. These vaccines may be administered by any appropriately qualified personnel who are following facility procedures, without the need for an individual physician evaluation or order. Administration Procedure: Informed consent in the form of a discussion regarding the risks and benefits of vaccination will occur prior to vaccination. (In the case residents, this may be with their authorized representative when appropriate. If signed consent is required according to state law, it would occur at this procedural step). R#12 received the flu vaccination to the left deltoid on 9/12/16. There was no evidence that education was provided or informed consent was obtained prior to administration. R#15 received the flu vaccination to the left deltoid on 9/12/16. There was no evidence that education was provided or informed consent was obtained prior to administration. R#23 received the flu vaccination to the left deltoid on 9/12/16. There was no evidence that education was provided or informed consent was obtained prior to administration. R#34 received the flu vaccination to the left deltoid on 9/12/16. There was no evidence that education was provided or informed consent was obtained prior to administration. R#49 received the flu vaccination to the left deltoid on 9/12/16. There was no evidence that education was provided or informed consent was obtained prior to administration. Interview on 8/13/17 at 4:22 p.m. with the Director of Nursing (DON) and Infection Control Nurse revealed that the local CVS Pharmacist came to the facility and set up a flu vaccination clinic last flu season to provide flu vaccinations. The DON stated that she did not obtain the consent forms with the education provided because the CVS Pharmacist told her that it was not necessary. The DON stated that it should have been obtained right then and there but that thought the pharmacist must have known what he was talking about. The DON further stated that I should have known better. Interview on 8/14/17 at 9:20 a.m. with the Administrator revealed that she is aware of the facility's policy related to obtaining informed consent for the flu vaccination and that she thought the policy was being followed. The Administrator stated that she was not aware that informed consents had not been obtained prior to the administration of the flu shot to the residents.	2020-09-01